Answer 4

  • Gained informed consent
  • Wash hands
  • Inspection
    • Start from the head and work your way down
    • Central cyanosis?
    • Flared nostrils?
    • Jugular vein distention?
    • Accessory muscle use?
    • Peripheral cyanosis?
    • Clubbing?
    • Pressure sores?
    • Posture?
    • Thoracic shape?
      • Barrel chest?
      • Pectus excavatum?
      • Flail chest?
      • Pectus carinatum
    • Respiratory rate?
    • Work of breathing? 
    • Any oxygen, lines, tubes attached?
    • Paradoxical breathing?
  • Palpation
    • How far does the chest expand?
    • Perform tactile fremitus
    • Perform percussion
  • Measure
    • Vital signs to ensure you gather a baseline on rest, exertion, and changes in positioning.Auscultation
    • Check for normal breathing sounds, fine crackles, coarse crackles, stridor, or wheezing.